BREANNE L FULLER

EMERGENCY MEDICAL ASSOCIATION WESTCHESTER PLLC

Dr BREANNE L FULLER is a female medical professional, specializing in Physician Assistant. She graduated in 2015.

Contact

EMERGENCY MEDICAL ASSOCIATION WESTCHESTER PLLC

95 GRASSLANDS RD
VALHALLA
NY
105951652

Tel: 9144937000

BREANNE L FULLER Information

Npi 1295101731
Pac Id 4880902659
Professional Enrollment Id I20150928001158
Last Name FULLER
First Name BREANNE
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2015
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EMERGENCY MEDICAL ASSOCIATION WESTCHESTER PLLC
Group Practice Pac Id 5890897342
Number Of Group Practice Members 22
Line 1 Street Address 95 GRASSLANDS RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City VALHALLA
State NY
Zip Code 105951652
Phone Number 9144937000
Hospital Affiliation Ccn 1 070006
Hospital Affiliation Lbn 1 STAMFORD HOSPITAL
Hospital Affiliation Ccn 2 330234
Hospital Affiliation Lbn 2 WESTCHESTER MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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